About us — Narcology 24

Why 24

Binges, withdrawal and acute psychosis happen at night and on holidays more often than in office hours. So our duty shift works round the clock: the dispatcher, the home-visit doctors and the inpatient unit never close for the weekend.

Medicine, not promises

We follow the clinical protocols of Kazakhstan's Ministry of Health and international guidelines (WHO, NICE). Coding and blockades are done only after assessment and with written consent, as part of treatment, not instead of it. We never promise a “cure in one day” or use unproven methods.

Addiction and mental health together

Many people with addiction also have depression, anxiety or another mental health condition. That's why our team includes psychiatrists and psychotherapists, and patients with dual diagnosis are treated for both at the same time.

Help for families

Families often call first. We advise relatives, explain how to motivate a loved one and support the family members who live alongside addiction.

Confidentiality

A first name is enough to call us. We don't put anyone on a registry or inform employers. Information is protected by medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System”.

How to reach us

Almaty: +7 (700) 309-29-88; Astana: +7 (700) 309-30-17; other cities: +7 (700) 309-30-65; WhatsApp: +7 708 270 55 37. The dispatcher answers 24/7.

Our doctors Narcology 24

Who will help you

Olga Smirnova, MD — addiction psychiatrist — **Olga Smirnova, MD**Addiction psychiatristExperience 27 years

Rinat Zhumabekov, MD — addiction psychiatrist — **Rinat Zhumabekov, MD**Addiction psychiatristExperience 21 years

Nurlan Isayev, MD — addiction psychiatrist — **Nurlan Isayev, MD**Addiction psychiatristExperience 10 years

Arman Magzhanov, MD — psychiatrist — **Arman Magzhanov, MD**PsychiatristExperience 24 years

Zhanar Tulegenova, MD — psychiatrist and psychotherapist — **Zhanar Tulegenova, MD**Psychiatrist and psychotherapistExperience 18 years

Addiction doctors

Doctors certified in addiction psychiatry

Make home visits, treat binges and withdrawal, carry out detox and pre-coding assessment, diagnose and treat addiction.

Psychiatrists

Certified psychiatrists

Consult online and at home, treat depression, anxiety, PTSD, OCD, insomnia, bipolar disorder, schizophrenia and psychosis, and manage dual diagnosis.

Psychotherapists

Addiction psychotherapy specialists

Motivational interviewing, CBT, relapse prevention, family and codependency work, group sessions and aftercare.

Home-visit team

Doctor and nurse on duty 24/7

Arrive with equipment, IV supplies and portable devices and arrange transport to the clinic when needed. Unmarked vehicle.

Addiction doctors, psychiatrists and psychotherapists with valid specialist certificates. Home visits, branch appointments and online consultations — 24/7.

All doctors

24/7 really means 24/7

A binge, withdrawal or acute psychosis won't wait until Monday morning. Narcology 24 addiction doctors and psychiatrists on duty make visits at night, at weekends and on holidays. In a few minutes the dispatcher will work out whether help at home is possible or inpatient care is needed — and tell you honestly straight away.

The doctor arrives with equipment, medication and portable devices, examines the person first and only then starts treatment. We follow the clinical protocols of Kazakhstan's Ministry of Health and international guidelines — no “miracle methods”, hidden extras or promises of a “cure in one day”.

More than relieving the acute state

An IV drip treats the effects of a binge, not the addiction itself. So after a home visit we offer the next step: an addiction doctor consultation, coding after assessment, psychotherapy, rehab or online follow-up. The decision is always the patient's.

If addiction comes with depression, anxiety or another mental health condition, a psychiatrist joins the treatment. Dual diagnosis is a common cause of relapse and needs to be treated at the same time, not one after the other.

Confidential and respectful

A first name is enough to call us. We don't put anyone on a registry or inform employers or neighbours; the doctor can come in ordinary clothes in an unmarked car. Information is protected by medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System”.

We support families too: how to talk to your loved one, what not to do, how to look after yourself. in Kazakhstan you can get a family consultation even if the person isn't ready for treatment yet.

How a home visit works

Call or message usThe dispatcher answers 24/7 and in 3–5 minutes checks the person's condition, age, how long the drinking or use has lasted, chronic conditions and the address. No surname needed.
The doctor sets offAn addiction doctor or psychiatrist comes with equipment and medication. Travel time depends on the district — usually within an hour. If inpatient care or an ambulance is needed, we'll say so straight away.
Examination and treatmentBlood pressure, pulse, oxygen saturation, blood sugar if needed and a neurological check. Then an IV drip or other treatment as indicated, 1–3 hours.
A plan for the next daysAdvice for the family on what to do overnight and tomorrow, phone follow-up and a repeat visit if needed.
Further treatmentCoding, psychotherapy, rehab or psychiatric follow-up — once the acute state has passed and the person is ready.

Questions and answers

How quickly can an addiction doctor arrive in Kazakhstan?

We visit 24/7, including weekends and holidays. Travel time depends on the district and traffic — usually within an hour. The dispatcher will give you an estimate when you call.

How much does home alcohol detox cost?

Home alcohol detox starts from 15 000 ₸, an online addiction doctor consultation from 10 000 ₸ and a psychiatrist from 15 000 ₸. The exact cost depends on the person's condition and is agreed before treatment. Phone advice is free.

Is it confidential? Will I be put on a registry?

Yes. Your first name is enough. Information is protected by medical confidentiality and is not shared with employers, the police or third parties except where expressly required by the law of Kazakhstan. Paid confidential treatment does not mean a registry entry.

Can I call a doctor if the person doesn't want treatment?

Treatment is only given with the patient's consent. A doctor can come, talk and assess the situation, and advise the family on how to motivate the person. Involuntary care is only possible under the procedure set by law; if life is at risk, call 103.

When is inpatient care needed instead of a home visit?

For long binges with severe withdrawal, seizures, hallucinations, serious heart or liver disease or diabetes, or if nobody can stay with the person at home. The doctor will tell you during the examination or even over the phone.

What should I do in an emergency?

For seizures, loss of consciousness, confusion, chest pain, vomiting blood, suspected overdose or any threat to life, call 103 or 112 immediately. Then contact us for further treatment.